Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Thomas C. Backenstose Jr., DMD

Individual provider Prosthodontics · NPI 1760465272

Dr. Thomas C. Backenstose Jr., DMD is a Prosthodontics in Philadelphia, Pennsylvania. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

7 N Columbus Blvd Apt 238
Philadelphia, PA 19106-1421
Phone: (612) 802-4697
Fax: (215) 583-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence D10848 (MN)

Record details

NPI number1760465272
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

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